| Organization Name: | FLATHEAD VALLEY ART THERAPY, LLC |
| NPI Number: | 1003276791 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALLYSON NORWOOD BUSH (OWNER/LCPC) |
| Mailing Address: | 723 5th Ave E 126 Kalispell |
| State: | MT US |
| Postal Code: | 599015321 |
| Phone Number: | 4062127576 |
| Fax Number: | |
| NPI Enumeration Date: | 02/24/2016 |
| NPI Last Update Date: | 02/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 1482 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |